49D2138131 CLIA NUMBER - CHANTILLY DIALYSIS

Laboratory Demographics

  • CLIA Code: 49D2138131
  • Facility Name: CHANTILLY DIALYSIS
  • Facility Address: 14225 SULLYFIELD CIRCLE - SUITE A
    CHANTILLY, VA
    ZIP 20151
  • Facility Phone: 703 263-1671
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: NEEJA TANDRA
  • NPI Number: 1427421155
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 49D2138131
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CHANTILLY DIALYSIS
Street 14225 SULLYFIELD CIRCLE - SUITE A
City CHANTILLY
State VA
ZIP 20151
Phone 703 263-1671
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2025
Certificate Expiration Date 10/9/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director NEEJA TANDRA

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This page was last updated on: 9/29/2025